Current Procedural Terminology

funding. Experts are scarce and expensive [18], while the lack of a professional association governing the actions of experts has been criticized [18, 17]. Within the research community there are also inconsistencies in terminology used to describe various processes [19,20]. The current literature reveals a number of proposed frameworks, models and procedures that have been put in place in an attempt to formally describe an effective digital forensic investigation process. In digital forensic investigations

programs, in one place, especially if you don’t have a practice manager to assist with competing applications and filing. Consequently, understanding how to use coding for practice is crucial. Dillon and Hoyston (2014) note that the “current Procedural Terminology codes

Health information exchange (HIE) is the electronic sharing of health information between different healthcare organization and providers. The primary goal of HIE is to provide effective, timely, safe, and secured healthcare information to ensure a patient is receiving the best care possible. This concept is not new, it has been around since the early 90’s and with the advancement of computer technology, and it is becoming the way of the future. Even with all the benefits associated with HIE,

1948, the ICD came under the direction of the World Health Organization, which assisted in tracking deaths and sicknesses to help make statistical assessments of international health and disease trends (Deborah Vines, 2013, pp. 88-125). Medical terminology plays a key role in proper diagnosis coding. You must be able to read and understand the physician’s documentation to identify the appropriate codes for medical conditions that pertain

screening colonoscopy. The immense scope of payable categories within the field requires a broad familiarity with new and updated codes in order to deter denials and protect reimbursements. Even supply items can be cause for rejection if coders are not current with guidelines. One of the most rejected supply claims includes a PEG-J being claimed to the wrong jurisdiction in such cases as when used to establish a transabdominal port by endoscopic procedure. PEG-Js must be claimed as a supply to the A/B MAC

workers work side by side with the patient to give the best services possible and to keep patients healthy. There is a three step process in Medicare for physician reimbursement. “1). Appropriate coding of the service provided by utilizing current procedural terminology; 2). Appropriate coding of the diagnosis using ICD-9 code; and 3). The Centers for Medicare and Medicaid services determination of the appropriate fee based on the resources-based relative value scale.” (Ochsner). Based on the way that

1. What competencies are needed for entry level employment in healthcare/HIS? Healthcare skills: (anatomy and physiology, medical terminology, pathophysiology, clerical and administrative procedures, laws and ethics, communications), Computer skills :(MS office, EHR, Internet, billing-related/PM, data mining, records management, coding/cac, And knowledge of healthcare reform: (privacy and security, HIPPA, HITECH, PPACA, ICD-10) for the greatest career opportunities for advancement. 2.

treatment is necessary for the health of the patient. Above all, medical necessity is reason for the treatment or care. Two common medical coding classification systems are in use — the International Classification of Diseases (ICD) and the Current Procedural Terminology (CPT). ICD is the standard

Medical Practice Initiative. One of the main drivers of the Medical Practice Initiative (MPI), aside from patient safety, is the acquisition, maintenance, and minimization of cognitive and psychomotor skill decay of healthcare personnel. A primary focus is maintenance of military and medical skills throughout a caregiver’s career (7). There is some crossover between the CCTI and the MPI as both apply to healthcare providers, but the MPI is more closely tied to Role 3 through Role 5 skills and procedures

Johantgen, Bass, Wilson, Fountain, Steinwachs, Heindel, & Weiner. (2013). Documented that “quality is the degree to which health services for individuals and populations increase the likelihood of attaining desired health outcomes and are consistent with current professional knowledge” (pg. 492). However, the patient outcomes become the final measure of quality as they imitate the influence of both structures and process of care (Stanik-Hutt, et al. 2013). Identification of Performance Measures Used for